Doctor insights on:
Pars Defect Injection
Female (55) C4 C5 osteophyte complex indents ventral thecal sac/lateral recess. Disc protrusion contacts/flattens ventral hemicord ?
Not sure of your ?: If you're asking about the imaging results you posted, you have a bone spur that is growing off of two of your vertebrae. It is large enough that it is pressing against your spinal cord and possibly some of the nerves that are exiting from the spinal cord. Your doctor will recommend treatment based on the severity of your symptoms. ...Read more
Spondylolysis is a defect of a vertebra. More specifically it is defined as a defect in the pars interarticularis of the vertebral arch. The great majority of cases occur in the lowest of the lumbar vertebrae (l5), but spondylolysis may also occur in the other lumbar vertebrae, as well as in the thoracic vertebrae. Spondylolysis occurs in three to six ...Read more
Pars defect: Bilateral pars defect also commonly called spondylolysis is a stress fracture near the joint of the spine. This usually occurs in the lower lumbar spine and can be painful and cause instability. This defect often occurs during the teenage years but can persist into adulthood and become symptomatic later in life. ...Read more
Lumbar Pars Defect: The defect is a stress fracture of the posterior portion of the spine that connects the facet joints and lamina with the anterior vertebral body at the level of the pedicle. This process is also known as a spondylolysis. It occurs in 5% of the general population but can be as high as 15% in certain athletes like gymnasts and football lineman due to the lumbar hyperextension. ...Read more
Possible: Spinal herniation can be a type called spina bifida occulta. This is a congenital (birth defect) defect that goes undeteced your entire life. It can also be more. Sometimes this is found during other testing. Severe forms of spina bifida can be detected before birth. It has successfully been operated before a baby is born. ...Read more
Mild uncovertebral joint hypertrophy c5c6 eccentric to right; mild t-spine scoliosis, bilat pars defect l4, foram stenosis at l4l5 - is surgery needed?
Yes, decompression: If the cause of the lateral recess stenosis is purely due to something compressing the nerve, like a disc or bone spurs it can be treated with a decompressive laminectomy or hemilaminectomy. However, if the cause is instability of the spinal segment, it should be fused. Also, if there is severe back pain associated with it, your surgeon may suggest to fuse as well. ...Read moreSee 1 more doctor answer
What does all this mean? C2-3 small disk osteophyte complex with ventral thecal sac deformity. C4-5 disk osteophyte complex with ventral cord flattening. C 5-6 Facet arthropathy and uncovertebral hypertrophy is severe right neural foraminal stenosis. Face
Degenerative: Basically refers to degenerative (aging) changes of the spine. Disk/osteophyte refers to bone spur and/or disc protrusion, and facet/uncovertebral hypertrophy refers to arthritis of the joints at the back part (facets) and sides (uncovertebral) of the vertebrae. Ventral thecal sac deformity and ventral cord flattening refer to slight pressure on the spinal cord. Stenosis refers to pinched nerve. ...Read moreSee 1 more doctor answer
L5s1 laminoforaminotomy aug 2012.Recent MRI shows L5 s1 disc herniation. Scar tissue abutting s1 nerve root neural cysts. Is another surgery an opt?
Yes, but....: Having another surgery is an option, but you should try conservative treatment like physical therapy first if you are having pain. Every time that you have surgery, you create more scar tissue. Before proceeding with surgery again, you should get a second opinion from another neurosurgeon or orthopedist. ...Read more
Potentially : A spondylolisthesis refers to a condition in which one vertebrae shifts forward on another. There are multiple potential causes. One cause can be degenerative, as noted in the degenerative changes in your facet joint. Another type is called "isthmic" which requires a bilateral pars defect to occur. ...Read more
Disc bulge w/ post left lat disc protrusion c6-7 mild central/left neural foramina stenosis hemangioma seen w/in left lateral inferior aspect of c4?
Disc herniation: Surgical intervention to the c6-c7 disc herniation is recommended or warranted if conservative care management fails to provide any adequate pain relief and/or progression of neurological deterioration. As for hemangioma and mild stenosis at c4, no surgery is recommended. ...Read more
Can lumbar spondylolisthesis & L4 bilateral pars defect w/ mild neural foramina stenosis cause tiny focal lesions in brain or is it 2 diff things?
Different things: Those are not related.Get a more detailed answer ›
C5/6residual rparacentral disc osteophyte complex mild flatening & indent anterior aspect of cord-surgery with anterior fixation&fusion 2fix-soreneck?
Hard to say: The treatment options for someone with the MRI findings you are describing are based also on the degree of problem you have had with it and also with the understanding that many people can respond to nonoperative care. That being said, an anterior cervical discectomy and fusion is the time tested surgery for that condition and is reasonably safe and effective. Thank you for your question. ...Read more
C-spine mild uncovertebral joint hypertrophy c5c6 eccentric to right; upper t-spine scoliosis, bilat pars defect L4 w/ foraminal sten at l4l5 surgery?
Xray recently shows severe joint space narrowing involve the patellofemoral compartment with underlying subchondral sclerosis & osteophyte formation?
Osteoarthritis: These are classical findings of osteoarthritis being spelled out by the radiologist. Osteoarthritis develops as we lose the cartilage that is not seen on X-ray and usually leaves a "joint space" on films. During this degenerative cascade, sclerosis happens to the bone under cartilage and bone tries to increase its surface area when weakened by forming spurs called osteophytes. Good luck. ...Read more
Fix without surgery?large diffuse disc protrusion L5-S1 w/caudal extrusion. Severe bilat/lat recess steno-severe central steno-severe bilat foram-stem
48yr kneemri osteonecrosis 5.1mm osteochondral defect & chondromalacic ulcer apex patella 7.8mm tranvers diam. Grade4 chandro erosion. Replace or fix?
Yes, very accurate: Ct guided procedure gives excellent "accuracy" in guiding the needle to the exact location to be injected. The process involves highly trained docs/technicians to get incredible pin-point accuracy. Best of luck if you are undergoing the procedure. ...Read more
- Talk to a doctor live online for free
- Pars defect
- What is a pars defect of the spine?
- Chronic pars defect
- Ask a doctor a question free online
- Pars defects at l5
- Pars defect spine
- Bilateral pars interarticularis defects
- Pars articularis defect
- Talk to a orthopedic surgeon online for free